Skip to content

Meet Dusk

Dusk

Dusk's story

HRT Access Fund recipient

Dusk (they/them) is a nonbinary person whose biggest barrier to care is distance. Disabled and using a cane, traveling to appointments takes a heavy toll on them. While their appointments have gone well, Dusk worries about the future, specifically, that upcoming laws could block insurance from covering HRT, leaving them unable to continue treatment.

Living on disability income, Dusk relies on SSI to support both themselves and a close friend. Most months, it isn’t enough to cover rent and essentials, and unexpected medical debt has only added to the struggle. Despite these challenges, Dusk is determined to stay on HRT. They shared, “Twelve months would mean that I will not have to physically detransition. It would mean that the benefits that have made my life significantly less miserable won’t have to stop. It would also mean two years on estrogen by the end of the 12 months, and that brings me joy just thinking about it.”

Dusk's timeline

Grant details

$1,480.50 towards gender-affirming care.





About Estrogen+

On average, it costs $1,700+/year for Dusk's care.

What is it?

Estrogen+ refers to the gender-affirming hormone replacement therapy (HRT) methods that some trans women, trans femme, and non-binary people take that result in physical changes which align with their gender identity. Every person's preferences and personal healthcare needs vary, so this can include oral medications, injections, and transdermal patches.

How accessible is it for trans folks to receive this care?

For trans folks who live in states most impacted by anti-trans healthcare legislation, it can be extremely difficult to find a knowledgeable, trans-affirming provider as well as access prescription medication. Many insurance plans do not cover HRT. For trans folks without insurance coverage, the ongoing out-of-pocket expense can be challenging.

What is the impact of this care on the recipient’s life?

Estogen+ introduces a wide range of feminizing physical, emotional, and psychological changes that align with their gender identity. This often leads to a more positive emotional well-being, increased confidence, increased safety when in public, and better opportunities at employment and more.